1952 Berkshire Dr -Sep. 16. 2011 7;58AM Bioscrip No, 2103 P. 2
Use BLUE or BLACK Ink
I o~ 7
~ Permit ~
City of Eap '
ASS ~v
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Dale Receive
Phone: (651) 675-5675 SiaK;
Fax: (651) 675-5694
INFLOW IPERMIT APPLICATION
Plumbing / Sewer & Water
Z
Date; Site Address: tq5l-a >L~ " ajovLo,
Tenant: Suite
Name: C.Y~ YOBS e. Phone:
RESIDENT / OWNER
t X15 Z- ~r ~~5 t L- S S i z z
Address/ City /zip:
Name: License
Address: City:
CONTRACTOR
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK _Sump Pump Repair Repair
Other Other:
Description of work: G,yjV-tQ r L,,t- - S -Z ry t -
DESCRIPTION A
o O ~S I, Cxe
FEES 55, UC~*
$55.00 I Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $
:Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for
reimbursement, two quotes from quallfled contractors must accompany this application. A list of contractors
can be found by visiting www.cit ofea an.com/infiow, or City Nall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call
48 hours before you Intend to dig to receive locales of underground utilities. www. o hersta ecall.or
I hereby acknowledge that 'hie information Is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this Is not a permit. but only an a lication for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of which q lres taco and approval of plans-
App P-tinted Name Ap !leant' SI atu
Date:
FOR OFFICE USE Reviewed By:
Requlraditrispe.ctione: -Under Ground Rough-In -Final
Receipt PLUMBING PERMIT. Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C t'}
Type or Pr± legibly
Tot. 'Pr' r
1. Date ' ` 2. Installation Cost 3, > '~f> ~
3. Job Address Lot Blk. Tract
G~ .
4. Owner'- Ao .
5. Contractou one ' -
6. Address
- 7. CityState Zip,.
8. Building Type: Residential El", Commercial ❑ Institutional ❑
9. Work Description: New 0` "'Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
s'. Bath tubs Septic Tank
Lavatory Softner
Shower Well
E" Kitchen Sink
Urinal/Bidet Other
I Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
/ Gas Piping Outlets
I
12. 1 hereby certify that the above information is true and correct, and I agree to
comply wi* all ordinarrwes and codes governing this type of work.
i/h-~
Signed: foeA , it/-' Z
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANIC LPE~RMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly Tot.'
1. Date _ 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor - Phone i
6. Address
7. City 7, 'x- State Zip
8. Building Type: Residential L~ Commercial ❑ Institutional ❑
e
9. Work Description: New Add ❑ Alter ❑ Repair ❑ ;
10. Describe Fuel Type
11. No. Eguipment• BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
i
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
F
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed , for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
t Approved CITY OF EAGAN 454-8100
This request void
r, ~ 1 C
18
months from , `rl U n f
B44738- L dzJt A,
Request Date Fire No. Rough-in Inspection
Required? Ready Now Q Will Notify lnspec-
,-,f .3 u Yes ~No for When Ready
LAcensed Electrical Contractor 1 hereby request inspection of above
❑ Owner electrical work installed at=
Street Address. Box or Route No. City
S~2 L`z 5 1'1/ - / E ; ,v -
ction No. I Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power u f/plier Address. f j~✓L.yn j-.... f'y"G' ,
!~i 1 t
Elect rica Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Instailation)
Authorized S' nato (Contractor/Owne~Maki nstallation) one Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave_, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297.2111' ENCLOSED.
MEMO-
REQUEST FOR ELECTRICAL INSPECTION EB'O°00t
r , See instructions for co
mpletirg this farm on back of yellow copy.
B 4.4 7 3 8 -X" Below Work Covered by This Request
d Rep. Type of Building " Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Coop, oercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecify Other /Specify)
OTFZ-r Specify Other Other
ompute Inspection Fee Below
K Fee Service Entrance Size fr Fee Feeders/Subfeeders s Fee Circuits
0to200 Amps 0to30Amps 0to30Am
Above 200 A 31 to 100 Amps 31 to 100 Amps
Above 100---AMPS
Swimming Pool Above 100-71l7
Transformets Irrigation Boom Partial 0
Signs Special InspectRemarks TOTR F
Ro
ogh-in r Date c J i, the Fiwctrical
b(SA ctor. hereby
rfy that the above
Final 44
aNa aye«fq inspection has been
r- t- made.
This mquad void is mondts from
Y ~ CASH RECEIPT •
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA-55121
f
DATE 19
RECEIVED
FROM v ~'~~~F ✓`".~,.-r ,i ~C~
AMOUNT $
S_ DOLLARS
+00
❑ CASH CHECK
POR
FUND CODE AMOUNT
Thank You
Y ✓ ~~L~
N° 54680
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPy
1
CITY OF EAGAN
N3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55121 - 0722
PHONE: 4548100
BUILDING PERMIT Receipt #
TO SF DWG/GAR Est. Value $70,000 Dote AUGUST 6 19 85
be mud for
Site Address 1952 BERKSHIRE DR Erectl Occupancy R3
Lot 1_ Block -A-Sec/Sub. BERKSHIRE PONDS Remodel ❑ Zoning R1
Parcel No. Repair ❑ Type of Const. V
Addition ❑ No. Stories
COLLEGE CITY CONSTRUCTION Move ❑ Length 50
Marne Demolish 13 Depth 45
z Address BOX 309, HWY 3 SO
Int Imps ❑ Sq. Ft.
City NORTHFIELD Phone 507/645-6648 Install ❑
SAME Approvals Fees
O Name
u~ Ads Assessment Permit '343,00
City Phone Water b Sew. Surcharge 35.00
Police Plan Review 171.50
PW Name Fire SAC 525-00
11 Address Eng. Water Conn. 500.00
<W City Phone Planner Water Meter 63.00
Council Road Unit 280.00
1 hereby acknowledge that 1 have read this application and state that Bldg. Off. 8/5/85 Tr. Pl. 132.00
the information is correct and nee to I with all applicable APC Parks
State of Minnesota Statute City of g n rdinonces.
/L Var. Date Copies
Signature of Permittee ~'3 Total $2, 049. 50
A Building Permit is issued to: LLEGE CITY CONSTRUCTION on the express condition shot
all work shall be done in accordance with a Is State of Mi nesota ales and City o3 Eagan Ordinances
IN.
Building Official
r
+ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
To be used Far Est. Value Date 19
Site Address Erect ❑ Occupancy
Lot Block Sec/Sub. Remodel ❑ Zoning
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
Move ❑ Length
W Name Demolish ❑ Depth
Z Address
3 Int. Impr. ❑ Sq. Ft.
b City Phone Install ❑
Approvals Fees
O Name
uu Address Assessment Permit
City Phone Water & Sew. Surcharge
Police Plan Review
u Name Fire SAC
n
u~ Address Eng. Water Conn.
<W City Phone Planner Water Meter '
Council Road Unit
I hereby acknowledge that I hove read this application and state that Bldg. Off. Tr. PI.
the information is correct and agree to comply with all applicable ARC Parks
State of Minnesota Statutes and City of Eagan Ordinances.
Var. Date Copies
Signature of Permittee , .
Total
A Building Permit is issued to on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
r
Permit No. Permit Holder Date Telephone #
Plumbing
Electric L~, rj g
4-'
Softener
Inspection Date Insp. Other
Footings 1
Footings II
Foundation
Framing Q
Roofing
Rough Pibg. .~3. r
Rough Htg.
Insu1.
Fireplace
i
t
i
Final Htg.
Final Plbg.
Final
Cert/Occ.
Water Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 10 Blk 4 Parcel 10 13750 100 04
Owner Street 1952 Berkshire Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1982 239.09 23.91 10 ~3. 4 2 /63G'~ /U -(7-,Y,5
STREET RESTOR. 123,80 2 15
GRADING
SAN SEW TRUNK 1982 176.04 11.74 15 a9, 0-/03 (07 SEWER LATERAL 1982 57.24 3.82 15 01. vo v
.8 .53- 1 09C~1~-
WATERMAIN 1982 46.09 3.07 15 -33 ,
s'e WATER LATERAL - __j I C)85 WATER AREA 1982 176.04 11.74 15 X02 Z, -
STORM SEW TRK 1985 385,03 25.67 15 .3 !O C~ -
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 10722
SAC 52-5.0101
PARK
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
J~J 651-681-4675
New Construction Reauirements Remodel/Reoair Reauirements
♦ 3 registered site surveys showing sq. ft of lot, sq. ft of house ♦ 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) ♦ 1 set of energy calculations for heated additions
♦ 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ♦ 1 site survey for exterior additions & decks
♦ 1 set of energy calculations
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
DATE: 3/29/99 CONSTRUCTION COST: $4,800.00
DESCRIPTION OF WORK: Tear off and reroof, apply ice and water shield
STREET ADDRESS: Fee Waived for storm damage 1952 Berkshire Drive
LOT: BLOCK: SUBD./P.I.D. ~y4 1 l/~,i P CNJ j
Name: Leger Pierrie Phone#: 651-277-6501
PROPERTY List First
ONVNER
Street Address: 1952 Berkshire Drive
City Eagan State: MN _ Zip: 55122
Company: Right Way Roof ink Phone 612557-8678
CONTRACTOR
Street Address:--- 14050 23rd Ave N License # 3 / 9 9 -Exp 3 / 31 9 9
City _ Plymouth _ State: MN _ Zip: 55447
ARCHITECT/
ENGINEER Company:-____ Phone
Name:------___~------ _ Registration
Street Address:--
City
City State: Zip:
Sewer & water licensed plumber (required for new construction qW:
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No RECEIVED
Tree Preservation Plan Received Yes No Not Required MAR 3 0 1999
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.)
❑ 03 1 of_ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level tI 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
❑ 33 Alteration ❑ 37 Demolish Bldg. ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) IM 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE:, ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
t 410~
or-rN To Be Used For: NOy S Valuation : C- kj -Q ' Date: LF
-7C?, OCZ::). -
Site Address: ~9~.2 $~~1~,ZLI1 E= OFFICE USE ONLY
Lot: Black Sect/Sub Erect Occupancy-3
Remodel Zoning
Parcel # zeJeSNlows pQ~% Repair Type of Const
Addition # of Stories
Owner s MY (:Qb•f,,, v Move Length
Demolish Depth 45
Address ~Q X j(~ ~o 144Y-1 3 Soo3a Int. Impr . Sq Ft
Install
City/Zip Code L)<=+%T4 rftj 1oS7
Phone r 102)- (yam.,( (-q APPROVALS FEES
Contractor __SAwvL'~L~„_,, Assessments Permit
Water/Sewer Surcharge 35,
Address Police Plan Review
Fire SAC 5 25 .
City/Zip Code Engr Water Conn .5
Planner Water Meter
Phone Council Road Unit L?)a
Bldg Off Treatment Pl I32.=
Arch./Engr. San,~Lc Ax p~ ter, APC Parks
Variance Copies
Address TOTAL City/Zip Code V
Phone j
(lose
CONSULTING ENGINEERS
ENGINEERING PLANNERS and LAND 9URVEVOAS
COMPRNY, INC.
bOO EAST 1461A STREET. BURNSVILLE, MINNESOTA 55337 PH 432-3000
CerJut cad ~z'e y
Q~Zl -QwcrIeZion: LOT /D, BLOCK BERK5H/RE PONDS,
DAKOTA COUNTY, M 1IVNESOTA
935, o`, Demo-rE5 EX15T/NG ELEVAT/0N
(736,6) DENOTES /PRDPO56D ELE VATIW
--go INDICATES D/RECT1oN OF
SURFACE DRAINAGE
NORTH ;
5CALE I 30' FlkIISHED GARAGE FLOOR
2S, EL E vATloti1= '946#S40
~ ~ ~ . 620
4r ''a op d Of Sg,
sb F
a ~ o ~ s~ 9yo,o)
IV/
5 , p5
Ste, / 0.
S dg 6 4'k 1 / ~Zo 2$
L_
36'FRONT BUILPIAJ DRAINAGE" AND
SETBAC9 LWE UTILITY EASEMENT
I hereby certify that this is a true and correct representation of a tract of
land as shown'and described hereon.. As prepared by me on this 2= day of
19_.
Ii 8/z/8~ ~'~~---Minn. Reg. No.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
BUILDING: Kell and Brenda Barnett - =
SITE ADDRESS: Lot 10 Block Berkshire Ponds
ANALYSIS BY: ZMl-~G 1-94-Lt i E-CyG • SDi - DATE 7-19-85 COMM. NO. :$5
As required by Code: Code "U;' = Minimum:
1. Total exposed wall area (033 Sq.Ft. x Iq V = 310,2 E.T~µ
2. Total roof/ceiling area I 1 O Sq. Ft. x , Oq 'U = 4r,,(, t7uv
a. Total wall window area oooooooso*oooooooooooo IGO. 0 Sq.Fto
b. Total door area 1........... 40,0 Sq.Ft.
c. Total glass door area 4 S,S Sq.Fto
d. Total wall area Sq. Ft.
e. Total wall area ...L4,V.F. Qt, .L-,r-. A4W. J-P. (00PA 4-& 0 Sq. Ft.
f . Total wall area Sq. Ft .
g. Total wall area Sq.Ft.
h. Total foundation wall window area oooos.ooooo 0.0 Sq.Ft.
i. Total net foundation area above grade go. o Sq.Ft.
("U" value of each wall segment calculated on attached sheets.)
a. ~(00 S;-- x "U" 014'l a BTUH
b. 4n c7z x „U,. 0. 0 Cv = Z . BTUH
co 4S , S Sr x "U" O ,.4 S BTUH
do q 33 ,D S~ x ..U.. 0. 05(0Z a 52 I. A, 3 BTUH
e. 4("22,17 5F x "U" p . U 510'! 210, 0 t BTUH
f. x "U" _ BTUH
go x .,U" BTUH
h. x "U" - _ - BTUH
i. ~D SF X "U" 0. 0q1 fe = "1. 1 BTUH
3. Building Walls: Total BTUH
If Item #3 is the same as, or less than Item 111, you have met the intent
of SBC 6006(c)2.
J. Total skylight area poi ME(L ~t~r~, ~t.aY oN~~ .~p Sq.Fto
k. Total roof/ceiling framing area (average 10X). Sq.Ft.
1. Total net insulated roof/ceiling area 1100 Sq.Ft.
Determine "U" value for each roof/ceiling segment:
3. 4 o SF x "U" o, US&2 = S.?-I BTUH
k. x "U" BTUH
1. 1 o 0 W x "U" o, o2t'i = 2'3,844 BTUH
4. Building Roof/Ceiling Total 2 U.lq L BTUH
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (01,
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of Items 113 and $4 shall not be greater than the sum of Items 111 and #2.
Code: 1. 7--10,3 Vu4 + 2. (o STUN = 355,9 BTUH
Building: 3. 1Ia,-7. S BTJN + 4. 24,1 B'TU'4 ii:5.1 BTUH
Difference: = 142.'Y °sTIJu t•ES;
' Page ~ of
Unit Type +-0
No. 1354
f
TABLE' 3.3
i U-Value Calculation
u a II IIQ I~
c I d(2• STvO V~~VV Co &103ril: r-j S
Construction
Components R-Value
Diagram
outside Air Film
• 41o nr(r v,S0
~7•~II INSUG I eUL , 51-+,`TNEe-MAL-
b,fo5~
x,35
1 gA ~ s @ I 1 ~ ~ to ~ ~rsV,
y , Q,~C.9 FLU ~ ~ Q-S
Inside Air Film
Area q33 SF RTotal
~ro3 SF U, R 1 , 0 S lot
Total
li it
j (~r IN,,>v A11 Urj
Aj( G ~~Ilrl ~2'I Fl.4Nn1 t,
Construction
Components R-Value
Diagram
(~s~,~ ~INCit outside Air Film
f1tA d MING-
41,04
i
GL(s I/L~~ o, 4 S
%,-0 0C. (rya
EfnsidLeAir Film
' 4
RTotal
Area =
t1 : Tr E1g
Page of 2
Unit Type +
1~1f No. 1254
TABLE 3.3
U-Value Calculation
Construction
Components R-Value
~ Diagram
Outside Air Film
5/8~~ I fin. - CQLA 5S W i nlpo vJ9 CAS1=M 2 , 0 4 -
Inside Air Film t $ ( g
RTotal
Area
i
U.R1 .346
SC- L-2 rlT` , 9~ ta1 1 45
Construction
Oiagram Components R-Value
Iy~~ Outside Air Film v' I~?
• t ~i I ►lrSU1. ~ 1 Sv
/v c
1
inside Air Film
~ ~y I Prs vv
R ° Total '()"'-4-
=
Area
CITY OF EA(;AIV
3830 PrloMneb Road
1'. O. Box 21199 '
Eagan. MN 55121 PERMIT NO.: r,
Zoning: o DATE. ii-
Owner: No. of Units: 3
Address:
Site Address r
Plumber.
1 free to campy wttfi tAe Clty of Eagan C v
"Nonop, Connection Charge: .
Account Deposit: T
Permit Fee: '7,77--
By ~
Surcharge:
Dote of Inp.: i.
Misc. Charges:
Insp.: Total:
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE pa"T
P. O: Box 21199
Eagan, MN 551;j PERMIT NO.:
Zoning: - DATE:
_
Owner,..- No. of Units:
Address:
Site Address: 1.1 r~-
Plumber: U i ; Y
Meter No.:
Size: Connection Charge:
Reader No. Account Deposit
Permit Fee
some to oornolir w City of Eagan Surcha
■enees rge: a :it1 +C.
.
Misc. Charges:
By Total: ~77 701--k7 5" 23-
Date of Insp.: Date Poid:
Insp.:
P- 0. Box 21199
Eagan. MN 65121 ' M. 6554
Z ng;
R1 13ATE:
Ownen ege 1 Y S NO. of Units:
Address::,
Site Address r 2r
r ~
Plumber: ire
!gging Cal
M
eter No.: y8 E-
Dze: .71 If ~
ge.
Reader No.: ! t~ =i
Game to comply WI& tfre CI rant ee. `
Ordlrasx y of Eagan Surcharge:
Misc. Chorgac
By C Total:
Date of Insp.: Dote Paid:
Insp.:
A
f
2/84
y CITY OF EAGAN
1(li~ APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROP= ADDRESS : Sv2
LEGAL DESCRIPTICN.
(Lot/Block/St: divisicn or Tax rarcei I.D. Nu#er)
IF S'I'RUCTL;,E, DAi~ OF CRIGM7:~I, EUILD. :G _.r_ IT ISS~~~~C
PP~Sr °I' S^. `3Ii~/PROPOSED US': I~'~-1 S~;GI,E F =_•'?LY V v/ -
❑ R-2 DUPLE: (T.%O =L.TS)
❑ R-3 TC,.-TZ?CUSE (7-=- - 1 UNITS) ( TUN=S)
t7 r-4 APA.~'~``;I'/CC:1)C_trlr~~g ( L'~iITS)
p CCtin=,cLAL/Rz---,II../O FICE
• ❑ 'DL'S i' :RI_'3L
Q INSTITL- T ICNAL/Gv"VE 22' 7
2) APP=--%T (PLEASE PRINT)
CIO
ADDRESS:
CITY, STATI', ZIP:
PF= : -O 7- = (Ca b 5~
3) PLU.MER NPlti'IE (PLEASE PRINT) FOR C T~USE ONLY
} ADDRESS • MURR PLUMBING - APPLE VALLEY INC. HERS LICE E:
Act' e
=~~l 69110 lsistffrwr
CITY, STATE, ZIP: APPLE VALLEY, MN 55124 Aired
Naito N f Ric
PHONE: PLUMBER LICENSE or'
Fa rr nitia
4) OCCL'PAIVT/Ciy'NER NAME: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHICH PERMIT IS BEING REQUESTED:
CONNECTION TO CITY SEWER
CONNECrICN TO CITY (MATER
❑ 071ER (PLEASE DESCRIBE)
6) Ui DICA-" UNE:
❑ PT-'SSE 110ID APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE
,.SE :FAIL APPROVED PERMIT TO 1, 2,(9 4 ABOVE
(Circle one
7) SIG:.MTURE: s DATE:
Ica ! s n[ q s~ a i.s #s E rms vw:jm:i a mot It a~t~~ r~ir fie f~ YS ! ai nos a~ t
F O R C I T Y U S E O N L Y
PER~MTT u ISSUED
F
.,S ~ $ SE:^iER PERMIT SCi.,,..::A:.,,:. )
$ WATER PERMIT (INCLUDE SURCHARGE)
$ (O1rlTV WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - t•IATER
$ f'r~ rte, WAC
J '
$ ✓ SAC
$ TRUNK WATER ASSESS'•!E. T
$ TRUNK SEWER ASSESS::ENT
$ LATEP.AL BENEFIT/TRUNK SE;,
:ER
$ LATERAL BENEFIT/TRUNK WATER
.
1 00
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
A1,40UNT PAID/RECEIPT n om?
DOES UTILITY CONNEC'T'ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
N~ ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : F
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120159
Date Issued:01/22/2014
Permit Category:ePermit
Site Address: 1952 Berkshire Dr
Lot:10 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer A Carlson
1952 Berkshire Dr
Eagan MN 55122--361
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144881
Date Issued:08/14/2017
Permit Category:ePermit
Site Address: 1952 Berkshire Dr
Lot:10 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer A Carlson
1952 Berkshire Dr
Eagan MN 55122--361
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148059
Date Issued:03/02/2018
Permit Category:ePermit
Site Address: 1952 Berkshire Dr
Lot:10 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer A Carlson
1952 Berkshire Dr
Eagan MN 55122--361
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature